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Underground <br />� Time In: <br />• <br />Time Out: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />Storage Tank Program Service Request Inspection Report <br />Name of Facility: Plaza liquor and Gas <br />Date: 10/18/2018 <br />Address: 2420 W TURNER RD, LODI 95242 <br />Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS <br />Telephone: (209) 461-6337 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0079742 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Joe Bartholdi <br />ICC Service Tech/Installer Exp. Date: 11/17/2019 <br />Manufacturer training: OPW, 05/05/19 <br />QEIfALL.t[SETItN,IQT'ES ANDOMNFEN"S '? ... z ` <br />NOTES <br />On site to verify corrosion protection for the 87 product direct bury spill container prior to backfilling. The bottom of the OPW <br />2100 series Thread on product fill spill container along with the riser were cover with 2 inch, 20 MIL pipe wrap tape to protect <br />them from corrosion. Corrosion protection verification is completed, the spill container may be backfill at this time. <br />This service request is NOT completed at this time. A verification of a minimum 5 gallon capacity, a one hour hydrostatic test <br />(or equivalent) along with proper drainage, for the 87 product and 91 product spill container.A secondary containment testing <br />on the 87 product tank must be completed with passing results in order for the facility to receive 87 product fuel deliveries. The <br />87 product level at this time is 799 gallons. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Joe Bartholdi, Service Technician <br />EH Specialist: ZUNA BARKER <br />Phone: (209) 953-7311 <br />FA0004139 SR0079742 SC298 10/18/2018 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />